Cacciamani Giovanni, Artibani Walter, Briganti Alberto, N'Dow James
Department of Urology, University of Verona, Verona, Italy.
Urological Research Institute and Department of Urology, Vita e Salute-San Raffaele University of Milan, Milan, Italy.
Urol Int. 2018;100(2):139-145. doi: 10.1159/000486344. Epub 2018 Jan 16.
The study aimed to explore adherence to the European Urological Association (EAU) Guidelines (GLs) grade A recommendation among Italian urologists.
A 13-item multiple-choice questionnaire covering oncological and non-oncological urological diseases was e-mailed to all Italian Urologist Society (Società Italiana di Urologia or SIU) members. We asked members to provide an explanation for their answer choice where needed. The quantitative data were tested using the Pearson's chi-square test. For all statistical comparisons, significance was considered as p < 0.05.
Of the 2011 invited SIU members, 210 (10.4%) completed the survey. The sample was composed of 22 (10.5%) Academic Urologists (AcUs), 110 (52.4%) Attending Urologists (AtUs), 32 (15.2%) Private Practice Urologists (PPUs), and 41 (19.5%) Residents in Urology (RUs). The mean adherence to the EAU Oncologic GLs ranged from 54.5 to 97.1%, while the adherence to the non-oncologic GLs ranged from 45 to 87.6%. We found that adherence differed across the working categories assessed.
Our survey showed that professional role, updates, and local facilities seem to be the drivers that influence the non-adherence to the GLs. Urologists who work in university hospital would be more inclined to adopt the GLs compared to those who practice in non-academic centers.
本研究旨在探讨意大利泌尿外科医生对欧洲泌尿外科学会（EAU）指南A级推荐的遵循情况。
通过电子邮件向所有意大利泌尿外科学会（Società Italiana di Urologia或SIU）成员发送了一份涵盖肿瘤性和非肿瘤性泌尿系统疾病的13项多项选择题问卷。我们要求成员在需要时对其答案选择做出解释。定量数据采用Pearson卡方检验进行分析。所有统计比较中，显著性水平设定为p < 0.05。
在2011名受邀的SIU成员中，210人（10.4%）完成了调查。样本包括22名（10.5%）学术泌尿外科医生（AcUs）、110名（52.4%）主治泌尿外科医生（AtUs）、32名（15.2%）私人执业泌尿外科医生（PPUs）以及41名（19.5%）泌尿外科住院医师（RUs）。对EAU肿瘤学指南的平均遵循率在54.5%至97.1%之间，而对非肿瘤学指南的遵循率在45%至87.6%之间。我们发现，在所评估的工作类别中，遵循情况存在差异。
我们的调查表明，专业角色、更新情况和当地设施似乎是影响不遵循指南的因素。与在非学术中心执业的泌尿外科医生相比，在大学医院工作的泌尿外科医生更倾向于采用指南。
